2023-03-14T13:09:04-05:00 2022-04-30 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2021-05-01 381366932 CLARK RETIREMENT COMMUNITY INC CLAR 6164521568 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 ROGER E WEIDEMAN II SENIOR VICE PRESIDENT/CFO 6164521568 2023-03-13 1 ROGER WEIDEMAN II 999009999 SAMANTHA BECKER P01344887 2695674500 2023-03-13 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ROGER E WEIDEMAN II 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 20508927 0 X CLARKRETIREMENT.ORG X 1906 MI TO PROVIDE RETIREMENT HOUSING, HEALTHCARE, AND RELATED SERVICES TO RESIDENTS AND CLIENTS. 4 0 288 240 0 0 3384975 3791838 15629700 15867368 16257 114320 708420 735401 19739352 20508927 0 0 0 0 9496369 9649217 0 0 727675 13431335 16375306 22927704 26024523 -3188352 -5515596 100230556 96381064 90691731 90786860 9538825 5594204 TO CREATE A COMMUNITY OF DIGNITY, COMPASSION AND RESPECT CENTERED ON THE LIVES OF OLDER ADULTS AND THOSE WHO CARE FOR THEM. 0 0 19061186 0 15867368 CLARK RETIREMENT COMMUNITY IS THE FIRST ORGANIZATION IN THE UNITED STATES TO RECEIVE ACCREDITATION FOR DEMENTIA SERVICES BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES - CONTINUING CARE ACCREDITATION COMMITTEE (CARF-CCAC).IN FISCAL YEAR 2022, CLARK PROVIDED OVER $859,000 IN BENEVOLENT CARE GRANTS TO RESIDENTS WHO HAVE OUTLIVED THEIR PERSONAL FINANCIAL RESOURCES.DURING FISCAL YEAR 2022, CLARK RECEIVED SEVERAL NOTABLE AWARDS AND RECOGNITION FOR ITS PROGRAM SERVICES. CLARK WAS VOTED AS ONE OF THE BEST AND BRIGHTEST TO WORK FOR IN 2021. 19061186 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 25 0 1 288 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MI X KIMBERLY ARTER-SLUTZKY 3178736183 8330 ALLISON POINTE TRAIL INDIANAPOLIS IN 46250 JOHN DATTILO DIRECTOR & PRESIDENT/CEO 40.00 2.00 X X 0 337305 43198 ROGER WEIDEMAN II DIRECTOR & VICE PRESIDENT/CFO 40.00 2.00 X X 0 304238 41658 BRIAN PANGLE CEO 40.00 2.00 X X 302763 0 30770 BETH KELLY PRESIDENT - PART YEAR 2.00 2.00 X X 0 0 0 DALE GROGAN VICE-CHAIR - PART YEAR 2.00 2.00 X X 0 0 0 SPENCER BROWN SECRETARY & TREASURER - PART YEAR 2.00 2.00 X X 0 0 0 JAY RUMBACH VICE PRESIDENT, GENERAL COUNSEL 1.00 1.00 X X 0 0 0 SUZEANNE BENET BOARD MEMBER - PART YEAR 2.00 2.00 X 0 0 0 BOB GILLETTE BOARD MEMBER - PART YEAR 2.00 2.00 X 0 0 0 JAYNE COURTS BOARD MEMBER - PART YEAR 2.00 2.00 X 0 0 0 HOWARD CUTLER BOARD MEMBER - PART YEAR 2.00 2.00 X 0 0 0 KATHLEEN HOLT BOARD MEMBER - PART YEAR 2.00 2.00 X 0 0 0 GRAHAM IRWIN BOARD MEMBER - PART YEAR 2.00 2.00 X 0 0 0 MARGIE CRAWFORD EX-OFFICIO - PART YEAR 2.00 2.00 X 0 0 0 BRIAN ELLIS EX-OFFICIO - PART YEAR 1.00 2.00 X 0 0 0 FORREST HOPPE EX-OFFICIO - PART YEAR 2.00 2.00 X 0 0 0 MARK MILLER EX-OFFICIO - PART YEAR 2.00 2.00 X 0 0 0 NICOLE SWART VP OF OPERATIONS 40.00 0.00 X 162846 0 2305 JOANN ABRAHAM VP DEVELOPMENT/FOUNDATION EXECUTIVE 40.00 0.00 X 113494 0 7490 LAUANN SHAWVER VP SALES, MARKETING & COMMUNICATIONS 40.00 0.00 X 111397 0 3372 BRIAN MORRILL DIRECTOR OF INFORMATION TECHNOLOGY 40.00 0.00 X 111351 0 2931 SAMANTHA BULL DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 101316 0 6808 903167 641543 138532 6 0 1 0 ELIZINGA & VOLKERS INC 86 EAST SIXTH STREET HOLLAND MI 49423 CONSTRUCTION 9026173 UNIDINE CORPORATION 1000 WASHINGTON ST STE 510 BOSTON MA 02118 DINING SERVICES 3081618 MNEMONIX TECHNOLOGY CONSULTING 600 EAST FULTON ADA MI 49301 IT SERVICES 548274 PLANTE & MORAN LIVING FORWARD 300 TOWN CENTER SOUTHFIELD MI 48075 CONSULTING SERVICES 273886 CENTURY FLOORSPACE 719 CENTURY AVE SW GRAND RAPIDS MI 49503 CONSTRUCTION SERVICES 262938 23 1044696 2747142 3791838 RESIDENT SERVICES 623000 15778023 15778023 ANCILLARY SERVICES 623000 64561 64561 RELATED PARTY RENT 623000 24784 24784 15867368 114320 114320 19309 0 19309 19309 19309 PROPERTY TAX REVENUE 623990 236957 236957 GUEST MEALS REVENUE 623990 69911 69911 BARBER SHOP REVENUE 623990 60730 60730 348494 348494 716092 20508927 15867368 0 849721 X 594635 594635 7518185 5165757 2109073 243355 76922 42692 33076 1154 840551 477846 361437 1268 618924 323697 286562 8665 271191 271191 33861 33861 5564883 3617174 1502518 445191 372757 320571 41003 11183 67141 67141 960131 920978 39153 8105 5917 2188 2543904 2332043 211861 3727578 3574747 152831 310771 183355 127416 NURSING HOME SUPPLIES 1204197 922415 264923 16859 REPAIRS AND MAINTENANCE 722705 693797 28908 PROPERTY TAXES 325239 150213 175026 BAD DEBTS 123170 123170 139673 139673 26024523 19061186 6235662 727675 1270316 1668815 1314183 13917 284755 2632208 224478 118481 524185 510373 113468213 42219765 65596667 71248448 10882401 7681745 20133571 12507077 100230556 96381064 8419896 1903875 15292702 27763808 66923068 59127317 56065 1991860 90691731 90786860 X 9538825 5594204 0 9538825 5594204 100230556 96381064 X -5515596 169670 1401305 X X 0 1 X 1 0 X 1934952 1296402 3999355 3384975 3791838 14407522 21786339 18056907 17513442 15629700 15867368 88853756 23721291 19353309 21512797 19014675 19659206 103261278 1934952 1296402 3633157 836152 1044696 8745359 0 1934952 1296402 3633157 836152 1044696 8745359 94515919 6678 37249 242643 46960 133629 467159 6678 37249 242643 46960 133629 467159 522116 476071 607642 677717 716092 2999638 24250085 19866629 22363082 19739352 20508927 106728075 0.88560 0.88910 0.00440 0.00320 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2017 AMOUNT: $ 522,116. 2018 AMOUNT: $ 476,071. 2019 AMOUNT: $ 607,642. 2020 AMOUNT: $ 677,717. 2021 AMOUNT: $ 716,092. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4422933 4422933 99644664 37926016 61718648 5398008 4293749 1104259 4002608 4002608 71248448 BENEFICIAL INTEREST IN NET ASSETS OF CLARK RETIREMENT COMMUNITY FOUNDATION 7681745 F 7681745 ASSETS LIMITED AS TO USE 11890104 RESERVATION DEPOSITS 320600 OTHER LONG-TERM ASSETS 62777 DUE FROM AFFILIATES 233596 12507077 QAAP MEDICAID PAYABLE 113480 RESERVATION FEE HOLDING ACCT 320600 457F ACCRUED COMPENSATION LIABILITY 63407 LT PORTION - LEASES 39020 INTERCOMPANY 1455353 1991860 X X X X 0 0 0 0 0 0 0 0 0 JOHN DATTILO DIRECTOR & PRESIDENT/CEO 0 307305 0 30000 0 0 0 14500 0 28698 0 380503 0 0 ROGER WEIDEMAN II DIRECTOR & VICE PRESIDENT/CFO 0 279238 0 25000 0 0 0 14177 0 27481 0 345896 0 0 BRIAN PANGLE CEO 297403 0 5000 0 360 0 12914 0 17856 0 333533 0 0 0 NICOLE SWART VP OF OPERATIONS 157250 0 5000 0 596 0 0 0 2305 0 165151 0 0 0 A SEE PART VI 521701965 38625KAD2 2019-12-10 63243485 SEE PART VI 0 0 0 A 10590000 67146095 4166969 3902610 1222604 38639429 19214483 2021 1 1 1 1 A 0 0 1 1 0 0.00500 0.00000 0.00500 0 0 0 A 0 1 0 0 0 0 0 0 0 A 1 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF GRAND RAPIDS SERIES 2019A, SERIES 2019C-1, SERIES 2019 C-2 SCHEDULE K, PART I, LINE A, COLUMN F: FINANCE KELLER LAKE CAMPUS 2019 CAPITAL PROJECT AND REFUND MICHIGAN STRATEGIC FUND BOND ISSUED ON JUNE 9, 2006 AND FINANCE 2019 CAPITAL PROJECT. FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS WERE UPDATED TO REFLECT BHI RETIREMENT COMMUNITIES BECOMING THE SOLE MEMBERS AS OF FEBRUARY 1, 2022. FORM 990, PART VI, SECTION A, LINE 6 EFFECTIVE FEBRUARY 1, 2022, BHI RETIREMENT COMMUNITIES, INC. IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A EFFECTIVE FEBRUARY 1, 2022, BHI RETIREMENT COMMUNITIES, INC., THE SOLE MEMBER, HAS THE ABILITY TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B EFFECTIVE FEBRUARY 1, 2022, GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO BHI RETIREMENT COMMUNITIES, INC., THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE ORGANIZATION'S FORM 990 PRIOR TO THE FILING OF THE RETURN IS MADE BY AN OFFICER OF THE MANAGING AGENT OF THE ORGANIZATION. THE FORM 990 IS ALSO REVIEWED BY THE BOARD OF DIRECTORS AND AN INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DOCUMENT. THESE DOCUMENTS ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WITH CLARK RETIREMENT COMMUNITY CANNOT INFLUENCE IN ANY WAY AND MUST ABSTAIN FROM VOTING ON ANY OUTCOME RELATED TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AN ANNUAL REVIEW IS CONDUCTED BY THE EMPLOYERS ASSOCIATION ALONG WITH HR GENERATING COMPARISONS TO LOCAL, REGIONAL AND NATIONAL INDUSTRY DATA. A COPY OF THE REVIEW IS PROVIDED TO THE BOARD FOR APPROVAL. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS IN FISCAL YEAR 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, PORTIONS OF THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL DISCLOSURE STATEMENT. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 3,617,174. MANAGEMENT AND GENERAL EXPENSES 1,502,518. FUNDRAISING EXPENSES 445,191. TOTAL EXPENSES 5,564,883. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE 1,401,305. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 2B: EFFECTIVE FEBRUARY 1, 2022, CLARK RETIREMENT COMMUNITY INC. HAD A CHANGE IN OWNERSHIP. AS A RESULT, AN AUDIT WAS PERFORMED FOR THE PERIOD MAY 1, 2021 THROUGH JANUARY 31, 2022. THE PERIOD FEBRUARY 1, 2022 THROUGH DECEMBER 31, 2022 WILL BE INCLUDED IN BHI SENIOR LIVINGS CONSOLIDATED AUDIT. CLARK RETIREMENT COMMUNITY FOUNDATION 1551 FRANKLIN SE GRAND RAPIDS MI 495063331 383236052 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12A, I CLARK RETIREMENT COMMUNITY INC 1 CLARK RETIREMENT SERVICES COMPANY 1551 FRANKLIN STREET SE GRAND RAPIDS MI 495063331 842692761 SUPPORTING ORGANIZATION MI 501(C)(3) LINE 12B, II BHI SENIOR LIVING INC 1 BHI FOUNDATION 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351680796 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 BHI RETIREMENT COMMUNITIES INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 260262903 SENIOR LIVING IN 501(C)(3) LINE 12A, I BHI SENIOR LIVING INC 1 WESLEY MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 351020934 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 PRAIRIE LANDING COMMUNITY INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 262053830 SENIOR LIVING IN 501(C)(3) LINE 10 BHI RETIREMENT COMMUNITIES INC 1 FOUR SEASONS VILLAS INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011187 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 HOOSIER MANOR INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 311011190 SENIOR LIVING IN 501(C)(3) LINE 10 BHI SENIOR LIVING INC 1 BHI SENIOR LIVING INC 8330 ALLISON POINTE TRAIL SUITE 300 INDIANAPOLIS IN 46250 350931432 SENIOR LIVING IN 501(C)(3) LINE 10 N/A 0 WESLEY MANOR SOUTHSIDE LP 1555 N MARKET STREET FRANKFORT IN 46041 RETIRE LIVING IN N/A 0 1 SLDEVELOPMENT INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 452664455 GOLF COURSE IN N/A C 1 BHI HOME CARE INC 8330 ALLISON POINTE TRAIL STE 300 INDIANAPOLIS IN 46250 475160712 HOME CARE IN N/A C 1 1546 SHERMAN STREET LLC 1551 FRANKLIN STREET SE GRAND RAPIDS MI 49506 843920830 INVESTMENT COMPANY MI N/A C 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 CLARK RETIREMENT COMMUNITY FOUNDATION C 1044696 CASH CLARK RETIREMENT COMMUNITY FOUNDATION A 24784 ACTUAL RENT